Nutritional considerations for the management of equine pituitary pars intermedia dysfunction

Abstract

SummaryPituitary pars intermedia dysfunction (PPID) is a common endocrine disorder affecting equids. To help achieve and maintain healthy body condition, whilst reducing the risk of dietary associated laminitis, appropriate nutritional management is key. This review proposes a stepwise approach to building an individual nutritional plan for equines with PPID. Starting with considerations relating to current and desired body condition and muscle mass, it highlights the importance of providing appropriate amounts and forms of energy, carbohydrate and protein, with further practical considerations regarding the feeding of animals that are often aged and may have particular clinical sequelae to PPID. The next important step is to determine the degree of insulin dysregulation (ID), as this is a major factor associated with an increased risk of laminitis. Animals with ID should be fed low non‐structural carbohydrate (NSC) providing feeds/feedstuffs as well as fresh or preserved forage with NSC content <10‐12% on a DM basis. Finally, adjustments need to be made according to life stage and activity level.